Individual provider · Type 1 NPI

Blaine G. Upham, DC

Chiropractor · Wasilla, AK

NPI number 1891838801 Active

Practice location

5461 E Mayflower Ln Ste 6
Wasilla, AK 99654-7892

Call (907) 357-6688 Map

Fax (907) 357-9655

Specialties and licenses

TaxonomyCodeLicense
Chiropractor 111N00000X5347 (AZ)
Chiropractor Primary 111N00000X584 (AK)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1891838801

Blaine G. Upham, DC's National Provider Identifier is 1891838801, issued on Feb 15, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Wasilla, AK. The record was last updated on Mar 18, 2014.